J

Senior Software Engineer - Interoperability

Jobgether • United States
Remote
This Job is No Longer Active This position is no longer accepting applications

Design and build systems for secure patient data retrieval and delivery across healthcare networks. Develop backend services and APIs for FHIR-based integrations. Contribute to technical direction and modernization of healthcare systems.

Key Highlights
Design and build backend services and APIs for patient data retrieval and delivery
Develop FHIR-based integrations for healthcare systems
Contribute to technical direction and modernization of healthcare systems
Key Responsibilities
Design, build, and maintain backend services and APIs for retrieving and processing patient data using FHIR (R4) and healthcare interoperability standards
Develop and enhance interoperability workflows supporting Release of Information (ROI), including identity matching, record discovery, and data delivery
Integrate with external EHR systems and healthcare networks using RESTful APIs, FHIR, and event-driven architectures
Modernize and maintain existing .NET-based services while supporting legacy system integrations where required
Own and contribute to technical roadmaps for interoperability components, balancing scalability, compliance, and delivery speed
Ensure systems are reliable, observable, and production-ready through strong engineering and testing practices
Collaborate with product, compliance, and operations teams to translate healthcare requirements into technical solutions
Technical Skills Required
C# .NET Framework .NET 6+ ASP.NET Web API MVC Entity Framework SQL Server FHIR RESTful APIs Event-driven architectures
Benefits & Perks
Competitive compensation
Fully remote work environment
Opportunity to work on meaningful healthcare systems
Nice to Have
SMART on FHIR
OAuth2
Epic
Meditech
NextGen
healthcare compliance (HIPAA)
AWS services (Lambda, SQS, SNS, RDS)

Job Description

This role sits at the core of modern healthcare interoperability, where you will design and build systems that securely retrieve, normalize, and deliver patient data across complex healthcare networks. You will work on backend services that power Release of Information workflows, ensuring that patient records are accurately and efficiently accessed through FHIR-based APIs and related standards. In a fully remote, highly collaborative engineering environment, you will contribute to both modern cloud-native services and legacy system integrations. The role requires strong architectural thinking, especially when navigating ambiguous interoperability challenges across external healthcare systems. You will have real influence on technical direction as the platform evolves toward deeper FHIR adoption and system modernization. This is a hands-on engineering position where reliability, compliance, and scalability directly impact healthcare operations at scale.
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